Deforming Arthrosis of the knee joint is called gonartrosis in medicine - this is a degenerative-dystrophic disease in the hyaline cartilage knee, which covers continents and tibia.
With knee arthrosis, the symptoms are developed gradually, for years, the main manifestation of the disease is pain, stiffness during the movement. It is gonartost considered the most common disease among the arthrosis of other joints, such as hip arthrosis, arthritis on elbow or shoulders, and finger phalan.
Most often, the disease affects the persons over 40 years, women are most sensitive to arthrosis. Sometimes it develops in young people against the background of injury or in athletes from excessive loads.
Knee Arthrosis: Symptoms, Causes, Disease Phases
Symptoms of the knee arthrosis.
It can be a few symptoms of serious illness (arthritis bones, joints), not everyone does not appear at once, but canceled cancelled tissues are gradually destroyed.
Think about the symptoms of the wrist Arthrosis in all phases (phases) of the disease.
In the initial phase, the patient has the least discomfort, but even slightly, but quite sharp pain in the common knee starts to appear. A problem that becomes a trip or long hiking becomes problematic. Furthermore, the pain that has endured the body begins worsening and the person already becomes unpleasant in the knees, after some physical voltage or in the rise from seating, when there is a load in the lower limb. In such cases they feel sharp pain in cartilage or in the very joint of the knee. Such pain quickly leaves but comes back every time.
In the next stage of the disease, only painful sensations does not improve, but starts to modify the knee. Due to the liquid accumulated in crispy tissue, knees can become spherical and slightly swollen.
Furthermore, everything is up. If the disease is not treated, the blood circulation process is in the knee, the Hyan area for cartilage can crack, after which the collapse will begin, and various types of growth will begin to appear on the bone structure. At this stage, the movement of cartilage is already very difficult, and each step is given to a person with difficulty. Walking causes strong pain, which practically does not end, and discomfort, crispers degeneration.
The Last Stage of the Disease is when the Knee Joint is there Completely affected, there is no cartilage fabric in the knee, and a person without support simply cannot sit down and stand up, cannot fully moves, without experiencing the north Pain in His Such Movements.
- Symptoms to react to. The person must react even when the pain that occurs in the knee and emphasizes the leg, when in walking or squats occur, when the jerks of the knees are reduced, the legs appear in their knees.
- What to do if the wrists of injury? If the knee's wrists began to hurt or in the glass, it was sharp in pain when you get up and sit down, contact your doctor immediately. Don't wait until the arthrosis of the knee wrinkle will not completely hit the wrist and cartilage knees, go a doctor as soon as you feel the first symptoms of the disease. Remember, when the disease that has already fully impressed cartilage, bone deformation appears and pain does not fall on any day, nor at night when walking, nor when walking.
- When do you contact the rheumatologist? A person should be addressed to a rheumatologist at first manifestations (symptoms) diseases.
- The main symptoms of arthrosis. Main symptoms of the knee arthrosis, where you should build attention: pain of any intensity and strength in your knees or one knee, which person feels when sitting in seating or lying; pain that is manifested in knee cups during elevators on the stairs; The appearance of syndrome pain immediately after a person comes out of the holiday condition, for example, rises after sitting and start moving.
Causes Arthrosis knee joint.
The arthrosis of the knee joint can hit a person for several reasons - this is age (over the years of cartilage bears) and intense physical therapy on leg or legs, and different types of knee injuries and more.
Main reasons for the development of arthrosis:
- Excess weight.
- Staros old age.
- Heredity.
- Osteoporosis.
- Lack in the body of vitamins and useful elements in traces needed for bones.
- Specific work with permanent loads on knee cups.
- Metabolic disorders.
- Sport (intense training, load on one leg or both legs).
- Knee injuries.
To avoid a disability, you should contact the rheumatologist on time for qualified assistance.
What happens with a compound with arthrosis.
At all phases of his changes, his changes are happening in the cartilage, in the joints and bones of his knees.
So, at the very beginning of the development of the cartilage disease, it is difficult to soften, become very vulnerable. Furthermore, microcracks and small tears, which are gradually increasing, appear on the surface of the joints. The next phase - cartilage begins to grow and increase thickness. The last phase is completely destroying cartilage on a particular or some specific part of the wrist.
Arthrosis of a common knee, degree of disease
All rheumatologists reveal three degrees of human knee arthrosis.
First. It is characterized by a slight narrowing of the slot directly between the joints themselves, which leads to discomfort and without movement restrictions.
Another. On it, doctors recorded the narrowing of the crack between the joints, the formation of osteophytes and cysts, the appearance of strong crumbs in the knees.
Third and last. There is a change in the form of osteophytes, partial or complete change (destruction) bones, forms, leg movement in the knees becomes impossible.
Degree Arthrosis knee joint
- Arthrosis of shared knees 1 degree. At this stage, and Biilment appears only, the cartilage is almost a whole, and the bones are not deformed. At this point, people feel a rare pain in knee glasses with someone, even a beatful load on the leg. These pain passes, but then they appear again and again, pass and appear again, but become more common, swelling can begin, which, according to patients, take place without tablets and fat use.
- Arthrosis of shared knees 2 degrees. This phase is already characterized by slightly great pain compared to the initial phase. Pain occurs not only if there is an intense load, but also with ordinary walking, when raising severity, when growing from a seated position. Starts a distinct knee crisis. Already at the specified phase, it starts gradually, slowly or intensely (depending on the individuality of the body), the joint is deformed, human movements become limited.
- Arthrosis of shared knees 3 degrees. In the end, this is the third, degree of our disease, the symptoms are already very pronounced, the knee joint pain is regular, and bone modification is already noticeable. Human mobility is almost completely limited, the patient is very difficult to choose a suitable position for themselves, the pain does not fall.
Arthrosis of shared knees - Symptoms and treatment
The general symptoms include:
- a feeling of pain in a cup of knees when a person moves (the beginning of the disease);
- pain in the affected areas, which becomes stronger every day;
- Night pain in knee joints;
- Edem in areas affected by disease;
- Rough dry crisis knees;
- Bone deformation in places affected by the disease.
Main symptoms of the knee joint arthrosis
The main (main, according to doctors - Russia) The symptoms of the arthrosis are four.
They include:
- pain during knee movement;
- dry crumbs in affected places;
- reducing the possibility of moving sick legs;
- Changes external (full or partial) affected areas.
- Diagnosis and treatment Arthrosis knee joint.
Careful examination of the patient, rheumatologist assesses the situation, turning a view of changes visible in the eyes in the areas of one knees or both and their direct mobility. The test method sets places of pain and crumbs, as well as the intensity of these pain.
In addition to the X -Ray for the patient, the doctor prescribes computer tomography and (or) MRI. These studies are needed to establish an accurate diagnosis and prescribe proper treatment.
Treatment of knee arthrosis, treatment method
Treatment Arthrosis of any knee joint phase includes:
- Methods of treatment using drugs;
- Treatment methods using exercise therapy and special physiotherapy;
- Treatment methods using the most free massage;
- Surgical intervention.
What gives efficient therapy.
Efficient therapy prescribed by the doctor contributes:
- Removing sharp pain;
- Restoration of the destroyed crispy tissue (if possible, the outcome depends on the degree of illness);
- increased joint mobility.
In removing knee arthrosis, exercise therapy plays a special role, a special diet based on legumes and dairy products and massages. If the therapy is prescribed for one reason or other, he did not show the desired result, the patient is prescribed surgery to install a special extension for the compound.
Arthrosis of a common knee: Treatment, drug
Competent actions with arthrosis of cartilage tissues of the knee joint (breach of cartilage composition) prescribed by rheumatologists includes a whole complex of drugs. This treatment complex usually includes:
- Nesteroid, directed to remove inflammation, drugs.
- Chondroprotectors.
- Special creams or fats.
- Therapeutic agents on the basis of which compresses are made.
Most often, for treatment arthrosis knees, doctors prescribe ibuprofen any manufacturer, indometacina also any production, ketoprofen, diclofenac, pyroxic and others.
The appointment of these drugs contributes to rapid pain removal, as a result of the patient, the fertile treatment in other ways - massage method, medical exercises, etc.
As for grease, most often for the patient use (rubbing massage movements into painful space) of such drugs in the form of dense fats (creams) and gels, such as Diclofenac, college, ferdon, transition, dolgit and others.
The list of special gel and fasting preparations for joints on the modern pharmacological market are very broad and diverse, and therefore, on the recommendation of the doctor, the patient may choose from the total number most appropriate and more effective in his case.
Some of the most popular recipes for traditional medicine against knee arthrosis.
- Burdok's treatment or the most ordinary burdo. It is necessary to take three lists of Burdock (better to take young leaves), attach them to the gauze, which is best to use the heating scarf.
- With an arthrosis and plant juice, the celand will help. You need to buy or acquire the color juice yourself. Suspended with such bed linen or any other natural fabrics, apply it to a painful place 45-55 minutes. By removing the bend, immediately lubricate the wrist with any plant oil. Repeat treatment for at least 10 days, then bring the same rest and repeat the course.
- Treatment of arthrosis dandelion. For such therapy, it will be necessary to make a collection of flowering of dandelions. To get the right effect, folk healers recommend that patients eat five dandelion flowers daily on an empty stomach, previously suspended into cooked hot water and wash in it. In addition, you can make a special infusion of grinding from the dandelion flowers. To do this, the bank is taken, which is previously treated with boiling water, half-filled butterflower flowers and pour (other half of the tkler) with a conventional colon. The product is located in a dark place and closes under the lid. After 30 days, the infusion can be used to rub painful places. Rubber movements are performed in a clockwise direction for 20-30 seconds per knee.
After the use of these compresses, about 75% of patients have a significant improvement in their condition, reducing pain and almost complete disappearance of the characteristic knee bark.
NeedRemember that traditional medicine recipes do not treat the disease, they can only complement the therapeutic flow of medications, making this course more efficient.
If you prepare any funds for traditional medicine or properly prepare raw materials for such a tool, you are not able to buy such components in the pharmacy or ask to collect plants of famous people (folk healers, grandmothers).
Therapeutic gymnastics
A special place in the treatment of arthrosis in the knees is busy special therapeutic gymnastics (exercise therapy). It is prescribed to patients, regardless of treatment procedure to improve the flow and drain of blood in the affected area, increase muscle strength and prevent contractions. Shown together with the use of special medicines.
LFK for arthrosis is by no means specific treatment, it is auxiliary method of combating a disease that is prescribed in combination with the aim of special medications.
Several exercises of therapeutic gymnastics for treatment and prevention:
- It is necessary to go to a difficult place (floor). Bend and immediately extend the knees with both legs. It is recommended to repeat exercises 3-5 minutes as possible as possible in one day. The load of both legs should be the same.
- Lying on the back, on the floor, cross the legs of scissors (foot on the leg, first right leg from top, then below), holding knees in exposed condition. Such movements are recommended to repeat each day. Exercises should not cause discomfort, with pain, it is better to leave such an exercise.
- Bearing on his back, in a solid place, pushing him in return in his stomach, bending the other leg in his knee. These movements will be performed on a daily basis, will help you exclude you from the risk zone. Exercises are recommended to repeat every day 3-4 minutes as often as possible. Load on both legs, as in the first case, should be the same.
Exercise therapy To treat the artrose arthrosis of the knee will bring more benefits if you combine therapeutic exercises with a special massage.
Visible changes in the state of use of physiotherapy exercises in the patient may occur in 7-10 days.
If you are unable to do the exercise therapy yourself, it is better to reject the exercises.
Arthrosis of a common knee: First symptoms, treatment, prevention and nutrition
Summing, they would like to notice that he discovered the first symptoms of the disease, and they are the pain in the knee joints and characteristic crumbs, immediately depart to the doctor and start a special medication treatment.
A diet to help with arthritis.
Immediately if you find an arthrosis or to prevent disease, review the diet of your usual diet. In everyday diet, there should be a steam dish or boiled. It is best if they are used in food on food that has a beneficial effect on bones, ligaments, joints and cartilage. Such products include: all beans, cottages, heavy varieties, soups, roast fish, baked fish, hazelnuts, almonds, pumpkers, broccoli and cauliflower, prepared on the basis of bones.
The diet that is described above is not a specific method of treatment, for efficient treatment, it should be used in combination with medicines, medical exercises and massage.
First group of reasons: hereditary and age factors
Heredity
Arthrosis of the knee joint is a disease in which hereditary predisposition is quite pronounced. So, if you are a woman, and my mother suffered from osteoarthritis in any form (not in all knees), then the likelihood of that disease is 2-3 times higher than on average in the population. If you have sisters and they are also sick of arthrosis, then the probability of his looks is even more.
In addition, there are diseases with hereditary predisposition, which influenced embroidered tissue - thus-werecolated collagenosis, which include, for example, sticker syndrome. In the presence of such shortcomings by collagen - a substance that is part of the ligaments - the probability of disease development also increases.
Partly to this group of causes of the knee arthrosis, the diseases of the endocrine system are neighboring: diabetes Melitus, lack of female sex hormones in menopause and numerous other conditions.
Age
Unfortunately, the older person becomes, the bigger he has the risk of osteoarthrosis. This is due to the fact that with age, the ability to cartilage to regeneration and renovation, and the metabolism in the joints get worse.
Thus, if at the age of 45, this disease suffers from 1, 5 to 3-4% of the population (US data), then almost every third person is sick in the interval from 45 to 65 years (30%). And aged 65 to 85, the frequency of disease development jumps up to 80 or more percentage!
In addition, in patients, ripe times affects the development of the disease not only of its age, but also hormonal changes. Thus, in menopausal women, the probability of osteoarthritis development increases abruptly. This is due to the fact that estrogen - female sex hormones - regulate the processes of metabolism in the joints, cartilage, bones and ligaments. When they become smaller (when menopause), metabolism in these tissues worsens and the risk of osteoarthrosis increases sharply.
Another group of causes: congenital and acquired diseases of the muscle-bone system
An inflammation of the wrist
Inflammation of shared knees (arthritis, more precisely, it is one of the most common causes of gonartrosis. Unfortunately, most microorganisms that penetrate into the wrist and causes its inflammation to contribute to the fact that the delicate cartilage is deformed. At the same time, its diet is significantly worsening, the form of cartilage surfaces are changing, etc.
For all these reasons, it is unwanted normal sliding cartilage in articulated bones. This leads to additional trauma of cartilage, deteriorates the volume of the movements in the joints and, to the end, creates a very fertile ground for the development of osteoarthrosis.
Knee surgery and injuries
The second common cause of the disease is the presence of knee injuries and surgical intervention on it. There is also one, and the other - for example, when it is executed, as a result of sports injury, performs operational removal of the meniscus. The normal function of the wrist is reduced, load on the changes in the cartilage, intensification in atypical places, and the result of the knee osteoarthrosis is formed.
Metabolic disorder in the body
The cartilage fabric in the joints is one of the few, the diet is not happening through the delivery of nutrients through blood vessels. The ice rink "is eaten" by diffusion of nutrients from the sinue fluid, as well as directly from pineal glands towards the same principle.
This is a rather subtle and fragile mechanism, therefore, if various metabolic disorders occur in the body, it can break and stop working. Therefore, some diseases in which metabolism in the body is greatly disrupted can contribute to osteoarthrosis.
Such diseases include primary and secondary gihnu, common hondromatosis, hemochromatosis, source, as well as Wilson-Konovalin's disease and a number of other diseases. In addition, endocrine diseases can also be added to this group that affects both the metabolism throughout the body - diabetes melitus and lack of female sex hormones (estrogen) in age due to menopause.
Third group of reasons: Increased loads and microtraw of cartilage
Sports and trying physical work at work
As mentioned, the nutritional nutrition is a very subtle mechanism that can disrupt not only metabolism problems, but also increased loads on the knee joint.
This happens often with intensive sports, as well as when one's work is involved in high physical activity, as well as extended stands on their feet without the possibility of sitting and relaxation.
At the same time, certain muscle groups (for example, the lower leg and thigh muscles) are overchecked. This exacerbates muscle and joint nutrition, which means that there are problems with metabolism inside cartilage, when cartilts simply do not have time to recover after such a strong physical effort on the wrist.
Diagnosis of arthrosis
The arthrosis of the knee joint should vary (distinguish) from rheumatic, inflammatory and other diseases with similar symptoms.
This included a standard test standard that includes a general biochemical blood test, radiographic overview, MRI and ultrasound.
In addition to arthrosis, the blood test does not reveal significant deviations from the norm. Change in blood composition, increasing immune cells and antibodies usually indicates another disease.
Since arthrosis does not manifest in an analysis in any way, the only reliable way to diagnose This is a hardware examination.
X -Ray, as the most common and cheapest test method, can relatively precisely identify the arthrosis and its phase.
The image is clearly distinguished by structural changes in the joints and bones. The X -Ray test allows the detection of structural deformations, determine the shortcomings in the articulated surfaces.
For reliable determination of gonartrosis and phase of its development, additional overview is used in combination with X -Ray: on an ultrasound, MRI or CT device.
The arthrosis diagnosis methodology is designed to ensure accurate disease detection in the earliest stages of development, which will effectively treat it.
Unfortunately, due to the specifics of the disease, the effectiveness of this approach is small: Patients are inclined to not pay attention to weak pain and mild chromium, and the doctor is already in the second or third phase of gonartrosis.
Additional recommendations: Prevention
Preventive measures aim to remove risk factors that lead to the development of arthrosis.
It is recommended to involve in moderate physical activity. In this case, possible injury, surge and hippotherms of joints should be avoided.
As mentioned above, the connection between the diet and the risk of the development of arthrosis is not established.
However, it is recommended to reduce saline and spicy foods, alcohol and cigarettes: it will improve the general condition of the body and reduce the load on the wrist.
In the presence of family history, it indicates genetic predisposition, physical examination should be regularly undergoed. Generally, arthrosis prevention is to lead a moderate way of life. It is important that you do not start the disease and consult a doctor at the tainty suspicion of arthrosis.